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Suggest Treatment For Skipped Heart Beats And Panic Attacks

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Posted on Fri, 9 Oct 2015
Question: I have mitral valve prolapsed and aerotic valve regulation ... I feel heart beat skip sometimes and panik attach twice or thrice in month... I feel really worried from last 1-2 years because im feeling such issues now... I have rheumatic fever at 14 years age and was on penidura 12 lac from then ... Now my cardiologist suggested me metalor xr 25.... What is life risk to my condition and for how long I have to take penidura injections now my age is 29 years
doctor
Answered by Dr. Mohammed Taher Ali (2 hours later)
Brief Answer:
There is no risk to your condition as long as you take the medication

Detailed Answer:
Dear XXXX, Hi
Good morning!

I really appreciate your concern towards your problem of having Mitral Valve Prolapse with Aortic Regurgitation.
The prescribed medication Metalor XR (a beta blocker) is very effective in preventing the irregular heartbeats responsible for the palpitation and the panic attacks sometime you get in a month. Continue to take this medication.

Most of the time, mitral valve prolapse is harmless and does not cause any symptoms. However, if you get dizziness, fatigue or shortness of breath with activity or when lying flat you must consult a doctor for further evaluation.

Since you had rheumatic fever at the age of 14 years and have associated Aortic regurgitation (with Mitral Valve Prolapse) in such case Benzathine Penicillin (Penidura) injections are usually prescribed until age 40 years or more.

There is nothing to worry, just relax, Insha Allah everything will be alright.

Hope I could answer your query.
However, if you have any thing to ask, please feel free to send your follow up query otherwise close this discussion after rating the answers given.

Good wishes.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Mohammed Taher Ali (5 hours later)
what are normal exercises I can do in my daily routine with this problem. and is their any medicine I can opt than penidura as I am in travelling job and not all doctors help me to give the injection as many of them refuse
doctor
Answered by Dr. Mohammed Taher Ali (43 minutes later)
Brief Answer:
Isometric exercises should be avoided.

Detailed Answer:
Dear XXXX, Hi
Good morning!
Thanks for your reply.

1. Regarding the type of exercise recommended, it depends upon the severity of the prolapse and the aortic regurgitation.

Exercise that uses muscle contraction to strengthen and tone your muscles. Isometric exercise usually involves pushing against resistance, as in weight lifting. These types of exercises can elevate your BP, thereby increasing the force against which your heart must pump blood. Such type of exercise should be avoided.

If you have mild to moderate regurgitation and normal heart function, you can participate in normal physical activity like daily walking will help keep your hear healthy. If you want to start being more active, talk to your cardiologist first. Your doctor will help you create a safe exercise plan.

2. Regarding alternate antibiotic to Penidura.
i) Oral Phenoxymethylpenicillin (Penicillin V Potassium) to be taken twice daily
Or
ii) Oral Azithromycin to be taken once daily

I would advise you to talk to your cardiologist before taking these medications as a long term prevention.

Hope this answers your query.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mohammed Taher Ali (25 minutes later)
I have mild mitral valve prolapsed and moderate AR ..... also I am just asking for walking or jogging or playing normal outdoor games not making much running....

are valve prolapsed life threatening because I'm planning to get married will it have any adverse effect on my married life
doctor
Answered by Dr. Mohammed Taher Ali (5 minutes later)
Brief Answer:
Walking, jogging & indoor games allowed

Detailed Answer:
Dear XXXX, Hi

Thanks for your reply.
As I explained earlier the exercises which can increase the BP should be avoided.
There is no harm if you want to do walking, jogging, or indoor games.
Mitral valve prolapse is generally a harmless condition it is not life threatening.
Yes, you can get married and start life marital life. It will not have any adverse effect on your marital life.

Hope this answers your query.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Mohammed Taher Ali

General & Family Physician

Practicing since :1988

Answered : 6261 Questions

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Suggest Treatment For Skipped Heart Beats And Panic Attacks

Brief Answer: There is no risk to your condition as long as you take the medication Detailed Answer: Dear XXXX, Hi Good morning! I really appreciate your concern towards your problem of having Mitral Valve Prolapse with Aortic Regurgitation. The prescribed medication Metalor XR (a beta blocker) is very effective in preventing the irregular heartbeats responsible for the palpitation and the panic attacks sometime you get in a month. Continue to take this medication. Most of the time, mitral valve prolapse is harmless and does not cause any symptoms. However, if you get dizziness, fatigue or shortness of breath with activity or when lying flat you must consult a doctor for further evaluation. Since you had rheumatic fever at the age of 14 years and have associated Aortic regurgitation (with Mitral Valve Prolapse) in such case Benzathine Penicillin (Penidura) injections are usually prescribed until age 40 years or more. There is nothing to worry, just relax, Insha Allah everything will be alright. Hope I could answer your query. However, if you have any thing to ask, please feel free to send your follow up query otherwise close this discussion after rating the answers given. Good wishes.